Provider Demographics
NPI:1528294139
Name:LACAILLE, SHERARD NJ (MBBS)
Entity type:Individual
Prefix:DR
First Name:SHERARD
Middle Name:NJ
Last Name:LACAILLE
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MONUMENT SQ
Mailing Address - Street 2:SUITE 401
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-5766
Mailing Address - Country:US
Mailing Address - Phone:978-728-4455
Mailing Address - Fax:
Practice Address - Street 1:14 MONUMENT SQ
Practice Address - Street 2:SUITE 401
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-5766
Practice Address - Country:US
Practice Address - Phone:978-728-4455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.125626207R00000X
MA2698908207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine